| NPI | 1770938540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD SD-CRN CR000912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD SD-RN R038489) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |